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Omni Dermatology Incorporated

Dermatology Physician in Glendale, AZ · enumerated 2008 · authorized official Andrew Racette, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003082090

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Registry record

Entity type Organization (Type 2)
Legal business name Omni Dermatology Incorporated
Practice address 11851 N 51st Ave Ste E130, Glendale, AZ, 85304
Phone (480) 954-3919
Fax (480) 954-3670
Enumeration date Apr 30, 2008
Last updated in NPPES Apr 3, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 4311 (AZ) Primary

Authorized official

Name Andrew Racette
Title President
Phone (602) 369-3634

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Omni Dermatology Incorporated?
The NPI for Omni Dermatology Incorporated is 1003082090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Omni Dermatology Incorporated?
NPPES lists Andrew Racette (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-03.